As an advanced practice nurse, you will likely observe patients who experience neurological conditions. While patients with neurological conditions may present typical physical manifestations, such as headaches, dizziness, weakness, and fatigue, many manifestations may not be overtly physical, such as declining memory and social withdrawal. In all cases, your differential diagnosis must take into consideration the role of the patient history and physical examination.
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For this Case Study Assignment, you will analyze an i-Human simulation case study about an adult patient with a neurologic condition. Based on the patient’s information, you will formulate a differential diagnosis, evaluate treatment options, and create an appropriate treatment plan for the patient.
To prepare:
- Review this week’s Learning Resources. Consider how to assess, diagnose, and treat patients with neurologic conditions.
- Access i-Human from this week’s Learning Resources and review this week’s i-Human case study. Based on the provided patient information, think about the health history you would need to collect from the patient.
- Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. Reflect on how the results would be used to make a diagnosis.
- Identify three to five possible conditions that may be considered in a differential diagnosis for the patient.
- Consider the patient’s diagnosis. Think about clinical guidelines that might support this diagnosis.
- Develop a treatment plan for the patient that includes health promotion and patient education strategies for patients with neurologic conditions.
Assignment
As you interact with this week’s i-Human patient, complete the assigned case study. For guidance on using i-Human, refer to the i-Human Graduate Programs Help link within the i-Human platform.
By Day 7
Complete your Assignment in i-Human.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
- Please save your Assignment using the naming convention “WK10Assgn+last name+first initial.(extension)” as the name.
- Click the Week 10 Assignment Rubric to review the Grading Criteria for the Assignment.
- Click the Week 10 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
- Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK10Assgn+last name+first initial.(extension)” and click Open.
- If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
- Click on the Submit button to complete your submission.
Grading Criteria
To access your rubric:
Week 10 Assignment Rubric
Check Your Assignment Draft for Authenticity
To check your Assignment draft for authenticity:
Submit your Week 10 Assignment draft and review the originality report.
Submit Your Assignment by Day 7
To participate in this Assignment:
Week 10 Assignment
Knowledge Check: Module 4: Musculoskeletal, Neurologic, and Mental Health Conditions
In this exercise, you will complete a 10-question Knowledge Check to gauge your understanding of this module’s content. Please note that this is a formative practice to help you better prepare for your Final Exam as well as your NP certification exam.
The questions in this Knowledge Check are related to the topics from Weeks 9 and 10. Topics include:
- Musculoskeletal conditions
- Neurologic conditions
It is in your best interest to take your time, do your best, and answer each question to the best of your ability.
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By Day 7
Complete and submit your Knowledge Check.
Submission Information
Submit Your Knowledge Check by Day 7
To submit your Knowledge Check:
Week 10 Knowledge Check
What’s Coming Up in Week 11?
Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images
In Week 11, you will not participate in a Discussion or complete an Assignment; however, you will take a Comprehensive Final Exam. Your Comprehensive Final Exam covers all of the topics and resources found in Weeks 1–11. Review the topics for these weeks as you prepare and plan your time accordingly for your Final Exam.
To go to the next week:
Week 11
NRNP_6531_Week10_Assignment_Rubric
| Novice | Competent | Proficient | ||
|---|---|---|---|---|
| HPI statement | Points Range: 0 (0%) – 5 (5%) Poorly written HPI statement. Incomplete ideas and sentences. Lacks basic history taking skills | Points Range: 6 (6%) – 10 (10%) Well written HPI statement but may be missing 1-2 key components from the history | Points Range: 11 (11%) – 15 (15%) Clearly written HPI statement with comprehensive information gathering from case questions. | |
| History | Points Range: 0 (0%) – 6 (6%) Incomplete history missing 3 or more aspects of the OLDCARDS critical to patient’s diagnosis. | Points Range: 7 (7%) – 8 (8%) Fairly complete history covering most of the requirements but may be missing 1-2 aspects of OLDCARDS critical to patient’s diagnosis. | Points Range: 9 (9%) – 10 (10%) Complete history covering all critical components of a focus exam. Includes all aspects of OLDCARDS | |
| Physical Exam | Points Range: 0 (0%) – 6 (6%) Incomplete physical examination. May be missing 3 or more key exam findings that are critical to patient’s diagnosis. | Points Range: 7 (7%) – 8 (8%) Fairly complete physical examination but may be missing 1-2 key exam findings critical to patient’s diagnosis. | Points Range: 9 (9%) – 10 (10%) Complete physical examination covering all critical components of a focus exam. | |
| Testing | Points Range: 0 (0%) – 6 (6%) Includes 3 or more inappropriate exams or tests. May include contraindicated testing. | Points Range: 7 (7%) – 8 (8%) Tests ordered are generally apprropriate. May include 1-2 unnecessary exams or tests. | Points Range: 9 (9%) – 10 (10%) Tests that are ordered are appropriate for patient and cost effective. | |
| Differential Diagnosis Summary | Points Range: 0 (0%) – 9 (9%) Primary diagnosis may be wrong.Differential diagnosis list too brief and inconclusive. May be missing 3 or more critical components. | Points Range: 10 (10%) – 14 (14%) Correct primary diagnosis identified. Well written differential diagnoses. May be missing 1-2 critical components. Priority list may be out of order | Points Range: 15 (15%) – 20 (20%) Primary diagnosis identified. Clearly written differential diagnoses. | |
| Plan for patient | Points Range: 0 (0%) – 15 (15%) Poorly written plan. May be missing 3 or more key issues that are critical to patient’s diagnosis. | Points Range: 16 (16%) – 25 (25%) Well written plan but may be missing 1-2 key issues critical to patient’s diagnosis. | Points Range: 26 (26%) – 30 (30%) Clearly written plan covering all critical components for patient’s final diagnosis. | |
| Exercises | Points Range: 0 (0%) – 2 (2%) Correctly answered 0-69% of the clinical questions. | Points Range: 3 (3%) – 4 (4%) Correctly answered 70-89% of the clinical questions. | Points Range: 0 (0%) – 5 (5%) Correctly answered 90-100% of the clinical questions. | |
| Total Points: 100 | ||||
Name: NRNP_6531_Week10_Assignment_Rubric
